• World Neurosurg · Jul 2022

    Review

    Complementary tools in cerebral bypass surgery.

    • Varun M Bhave, Lauren E Stone, Robert C Rennert, and Jeffrey A Steinberg.
    • Harvard Medical School, Boston, Massachusetts, USA. Electronic address: vbhave@hms.harvard.edu.
    • World Neurosurg. 2022 Jul 1; 163: 505950-59.

    AbstractCerebral revascularization surgery has been advanced by the refinement of several adjunctive tools. These tools include perioperative blood thinners, intraoperative spasmolytic agents, electrophysiological monitoring, and methods for assessing bypass patency or marking arteriotomies. Despite the array of options, the proper usage and comparative advantages of different complements in cerebral bypass have not been well-cataloged elsewhere. In this literature review, we describe the appropriate usage, benefits, and limitations of various bypass adjuncts. Understanding these adjuncts can help surgeons ensure that they receive reliable intraoperative information about bypass function and minimize the risk of serious complications. Overall, this review provides a succinct reference for neurosurgeons on various cerebrovascular bypass adjuncts.Copyright © 2022 Elsevier Inc. All rights reserved.

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